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... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement clinical strategies to mitigate cost while ... medical drug strategies...
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a ... teams that report to this Associate director will assist in identifying 'NEW' ... industry. You will partner with Clinical,..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... to grow,..
... patient safety. As the Assistant Director of Nursing you will help ... staff member. The RN Assistant Director ER will be responsible for ... maintaining professional practice standards and..
Description The Medical Director relies on fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team..
... America DaVita is seeking a Clinical Coordinator who is looking to ... etc.)* Ensure you and your clinical team are delivering the highest ... Charge RN readiness approval by..
... Analytics is looking for an Associate Director of Data Science to lead ... future adverse health events. The Associate Director must be able to effectively ... business problems being..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Bridgeport Connecticut ... in Bridgeport Connecticut Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Associate Director,..
Job Information Humana Associate Director, Technology Solutions in Bridgeport Connecticut ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and ... leaders across the Humana enterprise, clinical subject matter experts, analytics, actuaries ... and finance teams. Responsibilities The Director, Pharmacy..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..
... for CDI Manager position: The Clinical Documentation Integrity (CDI) Manager will ... budget. Reports to the CDI Associate Director and works collaboratively with the ... CDI managers, the program's..
Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Bridgeport ... in Bridgeport Connecticut Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Bridgeport Connecticut ... in Bridgeport Connecticut Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
... $90.78 Job Summary: The Assistant Director of Pharmacy Services assists in ... areas and programs. The Assistant Director of Pharmacy Services takes an ... and partners with the Assistant..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Bridgeport ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
